Steps to High Cholesterol Diagnosis
High cholesterol diagnosis can be measured by simple blood tests. Blood samples will be used to determine the level of total cholesterol, bad cholesterol (LDL), good cholesterol (HDL), and triglycerides in the blood. Before performing the test, patients will usually be asked not to eat for 10-12 hours. The goal is that the test results are not affected by food that is still digested.
After the examination is complete and the results are obtained, the doctor will explain to the patient and conclude whether the patient has low, medium or high risk for cardiovascular disease, such as stroke or heart disease within 10 years. The conclusion is not only based on the results of cholesterol tests, but also obtained by taking into account the following things.
- Gender, family history, ethnicity, and age.
- Risk factors that can be treated, such as diabetes, high blood pressure, and other diseases.
- The body mass index of a patient whose size is obtained from the weight ratio of patients with height.
To measure total cholesterol, blood cholesterol is measured in units called milimol per liter of blood, or commonly abbreviated as mmol / L. For healthy adults, the recommended cholesterol level is 5 mmol / L or less. As for those at high risk, 4 mmol / L or less is recommended.
The ideal cholesterol (LDL) level is 3 mmol / L or less for healthy adults and 2 mmol / L or less for those at high risk. The ideal level of good cholesterol is above 1 mmol / L. If below that, then the risk of heart disease will be high.
In addition to checking cholesterol levels, triglyceride levels will also be checked. Triglycerides are fat in the body that will be converted into energy. This substance comes from the consumption of fatty foods. Unused triglycerides are stored in the fat tissue. Excess triglycerides can cause heart disease. The recommended triglyceride level is equal to / or below 1.7 mmol / l.
People who are suggested to have cholesterol tests
A person is advised to have a blood cholesterol test if:
- Aged over forty years.
- Have diabetes or high blood pressure.
- Being overweight or obese.
- Diagnosed with mild stroke, peripheral artery disease, or coronary heart disease.
- Have other diseases, such as kidney disease, inflammation of the pancreas or pancreatitis, or less active thyroid gland. These diseases can increase triglyceride and cholesterol levels.
- Has a close family that has a cholesterol-related health disorder, such as familial hypercholesterolaemia.
- Have a family history of early cardiovascular disease (eg father or brother who has a stroke, heart disease, or heart attack under age 55 and mother or sister who is affected by the disease under age 65).